Organization
RECOVIA LLC
Active
Parent organization
RECOVIA LLC
Other names
Fountain Plaza Tucson
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECOVIA LLC
Authorized official
MRS. CINDY PROFFITT C.C.S., C.P.B., EMT- (DIRECTOR OF BILLING)
(480) 712-4600
Entity
Organization
Contact information
Practice address
6060 N FOUNTAIN PLAZA DR STE 140, TUCSON, AZ 85704-7874
(480) 712-4600
(480) 219-7138
Mailing address
PO BOX 20216, PHOENIX, AZ 85036-0216
(480) 712-4600
(480) 219-7138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427421098
—
AZ
Enumeration date
12/28/2022
Last updated
12/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us